广告

加入

女性正在努力从全科医生那里获得围绝经期和更年期症状的适当帮助

近四成因围绝经期症状寻求治疗的女性表示,她们的全科医生告诉她们,她们必须学会接受

Mumsnet的总部|最后更新于2021年6月3日

Nearly four in 10 women seeking treatment for perimenopause symptoms say their GP told them they\u2019d just have to learn to live with it<\/p>","value":"

Nearly four in 10 women seeking treatment for perimenopause symptoms say their GP told them they\u2019d just have to learn to live with it<\/p>"},{"meta_id":106695,"post_id":7208,"meta_key":"body","meta_value":"a:9:{i:0;s:7:\"content\";i:1;s:3:\"mpu\";i:2;s:7:\"content\";i:3;s:11:\"block-quote\";i:4;s:7:\"content\";i:5;s:11:\"block-quote\";i:6;s:7:\"content\";i:7;s:3:\"mpu\";i:8;s:7:\"content\";}","value":["content","mpu","content","block-quote","content","block-quote","content","mpu","content"]},{"meta_id":106700,"post_id":7208,"meta_key":"body_0_content","meta_value":"

A survey of over 1,500 women by Mumsnet and Gransnet shows that many women are struggling to get appropriate help from GPs for perimenopause and menopause symptoms<\/a>. It also suggests that some GPs are at a loss when it comes to perimenopausal symptoms in particular.<\/p>","value":"

A survey of over 1,500 women by Mumsnet and Gransnet shows that many women are struggling to get appropriate help from GPs for perimenopause and menopause symptoms<\/a>. It also suggests that some GPs are at a loss when it comes to perimenopausal symptoms in particular.<\/p>"},{"meta_id":383618,"post_id":7208,"meta_key":"_edit_last","meta_value":"25","value":"25"},{"meta_id":383619,"post_id":7208,"meta_key":"_expiration-date-status","meta_value":"saved","value":"saved"},{"meta_id":383620,"post_id":7208,"meta_key":"_edit_lock","meta_value":"1629296226:22","value":"1629296226:22"},{"meta_id":469444,"post_id":7208,"meta_key":"_metadata_meta_title","meta_value":"field_5ff8482f6b791","value":"field_5ff8482f6b791"},{"meta_id":469445,"post_id":7208,"meta_key":"_metadata_meta_description","meta_value":"field_5ff848406b792","value":"field_5ff848406b792"},{"meta_id":469446,"post_id":7208,"meta_key":"metadata_do_not_allow_indexing","meta_value":"0","value":"0"},{"meta_id":469447,"post_id":7208,"meta_key":"_metadata_do_not_allow_indexing","meta_value":"field_60255d5f751c0","value":"field_60255d5f751c0"},{"meta_id":469448,"post_id":7208,"meta_key":"metadata","meta_value":"","value":""},{"meta_id":469449,"post_id":7208,"meta_key":"_metadata","meta_value":"field_5fd3830066848","value":"field_5fd3830066848"},{"meta_id":469450,"post_id":7208,"meta_key":"show_sponsored_content_disclaimer","meta_value":"0","value":"0"},{"meta_id":469451,"post_id":7208,"meta_key":"_show_sponsored_content_disclaimer","meta_value":"field_6070087df5508","value":"field_6070087df5508"},{"meta_id":469452,"post_id":7208,"meta_key":"_standfirst","meta_value":"field_5fd38e9e96b76","value":"field_5fd38e9e96b76"},{"meta_id":469453,"post_id":7208,"meta_key":"content_author","meta_value":"8069","value":"8069"},{"meta_id":469454,"post_id":7208,"meta_key":"_content_author","meta_value":"field_5fd379f22a693","value":"field_5fd379f22a693"},{"meta_id":469455,"post_id":7208,"meta_key":"hero_image","meta_value":"12588","value":"12588"},{"meta_id":469456,"post_id":7208,"meta_key":"_hero_image","meta_value":"field_6006f13821768","value":"field_6006f13821768"},{"meta_id":469457,"post_id":7208,"meta_key":"_body_0_content","meta_value":"field_5ff5e32e00b35","value":"field_5ff5e32e00b35"},{"meta_id":469458,"post_id":7208,"meta_key":"body_1_id","meta_value":"1","value":"1"},{"meta_id":469459,"post_id":7208,"meta_key":"_body_1_id","meta_value":"field_605356a45ac1b","value":"field_605356a45ac1b"},{"meta_id":469460,"post_id":7208,"meta_key":"body_2_content","meta_value":"

36% of those who sought help from their GP for perimenopause symptoms, and 26% of those who sought help for menopause symptoms, say they visited their GP three times or more before being prescribed appropriate medication or help.<\/p>

\"I feel like I'm going insane, but do not feel that it's even worth another GP visit to try to sort it out.\" \u2013 Survey respondent<\/em><\/p>

39% of those who sought help from their GP for perimenopause symptoms, and 27% of those who sought help for menopause symptoms, say their GP told them they\u2019d just have to learn to live with it.<\/p>

\"The GP said there was no way to know if it was perimenopause and that I just had to get on with it. They can help when my periods stop\/menopause starts.\" \u2013 Survey respondent<\/em><\/p>

Nearly four in 10 (39%) say they don\u2019t trust GPs to diagnose the perimenopause correctly, and a quarter (25%) say they don\u2019t trust GPs to diagnose the menopause correctly. However, almost half (47%) trust their GP to prescribe the correct medication for their perimenopause symptoms.<\/p>

\"My (female) GP looked at me blankly when I mentioned perimenopause. She doesn't appear to have heard of it. She tried to fob everything off as anxiety.\" \u2013 Survey respondent<\/em><\/p>","value":"

36% of those who sought help from their GP for perimenopause symptoms, and 26% of those who sought help for menopause symptoms, say they visited their GP three times or more before being prescribed appropriate medication or help.<\/p>

\"I feel like I'm going insane, but do not feel that it's even worth another GP visit to try to sort it out.\" \u2013 Survey respondent<\/em><\/p>

39% of those who sought help from their GP for perimenopause symptoms, and 27% of those who sought help for menopause symptoms, say their GP told them they\u2019d just have to learn to live with it.<\/p>

\"The GP said there was no way to know if it was perimenopause and that I just had to get on with it. They can help when my periods stop\/menopause starts.\" \u2013 Survey respondent<\/em><\/p>

Nearly four in 10 (39%) say they don\u2019t trust GPs to diagnose the perimenopause correctly, and a quarter (25%) say they don\u2019t trust GPs to diagnose the menopause correctly. However, almost half (47%) trust their GP to prescribe the correct medication for their perimenopause symptoms.<\/p>

\"My (female) GP looked at me blankly when I mentioned perimenopause. She doesn't appear to have heard of it. She tried to fob everything off as anxiety.\" \u2013 Survey respondent<\/em><\/p>"},{"meta_id":469461,"post_id":7208,"meta_key":"_body_2_content","meta_value":"field_5ff5e32e00b35","value":"field_5ff5e32e00b35"},{"meta_id":469462,"post_id":7208,"meta_key":"body_3_quote","meta_value":"My GP is very unhelpful and I think most GPs aren't clued up on HRT, even more so re the risks for people with a family history of breast cancer. So I feel like, when I'm the most vulnerable, I need to take charge of my own healthcare as I won't get any help from my healthcare provider. \u2013 Survey respondent","value":"My GP is very unhelpful and I think most GPs aren't clued up on HRT, even more so re the risks for people with a family history of breast cancer. So I feel like, when I'm the most vulnerable, I need to take charge of my own healthcare as I won't get any help from my healthcare provider. \u2013 Survey respondent"},{"meta_id":469463,"post_id":7208,"meta_key":"_body_3_quote","meta_value":"field_5ff70e2f79410","value":"field_5ff70e2f79410"},{"meta_id":469464,"post_id":7208,"meta_key":"body_4_content","meta_value":"

Only around a half (51%) of those who are going through or have gone through the menopause approached their GP for help in managing the symptoms.<\/p>

\"It\u2019s impossible to get an appointment in reasonable time, and I don't want to waste precious GP time.\" \u2013 Survey respondent<\/em><\/p>

25% of those who are going through or have gone through perimenopause and who have approached their GP for help reported being told that they couldn\u2019t be perimenopausal because they were \u2018too young\u2019.<\/p>","value":"

Only around a half (51%) of those who are going through or have gone through the menopause approached their GP for help in managing the symptoms.<\/p>

\"It\u2019s impossible to get an appointment in reasonable time, and I don't want to waste precious GP time.\" \u2013 Survey respondent<\/em><\/p>

25% of those who are going through or have gone through perimenopause and who have approached their GP for help reported being told that they couldn\u2019t be perimenopausal because they were \u2018too young\u2019.<\/p>"},{"meta_id":469465,"post_id":7208,"meta_key":"_body_4_content","meta_value":"field_5ff5e32e00b35","value":"field_5ff5e32e00b35"},{"meta_id":469466,"post_id":7208,"meta_key":"body_5_quote","meta_value":"My GP flatly refused to believe that I was menopausal for three years because she said that I was 'too young' (I was 37). I had to struggle on with a full-time job and family commitments, with no help for the awful symptoms. It was a horribly difficult time. \u2013 Survey respondent","value":"My GP flatly refused to believe that I was menopausal for three years because she said that I was 'too young' (I was 37). I had to struggle on with a full-time job and family commitments, with no help for the awful symptoms. It was a horribly difficult time. \u2013 Survey respondent"},{"meta_id":469467,"post_id":7208,"meta_key":"_body_5_quote","meta_value":"field_5ff70e2f79410","value":"field_5ff70e2f79410"},{"meta_id":469468,"post_id":7208,"meta_key":"body_6_content","meta_value":"

10% of those who are going through or have gone through the menopause said they had sought private healthcare because their GP did not help with their perimenopausal symptoms.<\/p>

What is the solution?<\/h2>

Mumsnet and Gransnet are calling for GPs to be given more training in menopause and perimenopause management, and for women to be given clear, well-informed advice on treatment options.<\/p>

Mumsnet and Gransnet Founder Justine Roberts said: \u201cGreat strides have been made recently when it comes to the visibility of the menopause, with employers being urged to recognise its impact on many women\u2019s lives, and women becoming increasingly clued-up about associated symptoms. The next step is for perimenopausal symptoms to be more widely acknowledged. GPs are a crucial link in this chain, and our survey findings suggest that GPs urgently need to receive adequate training to recognise and manage women's symptoms.\u201d<\/p>

Menopause expert Dr Louise Newson said: \u201cMenopause education has been inadequate in the past as many GPs (including me) have received no formal menopause education as part of their training. Traditionally menopause care has been lead by gynaecologists. However, all healthcare professionals need to receive adequate training in the perimenopause and menopause so women receive evidence-based and holistic care. Along with like-minded GPs, I have developed a Menopause Education Programme which will launch soon and will really help to improve education for GPs, nurses and other healthcare professionals. GPs are very busy so need education that is evidence based and easy to access, so we are really excited that our programme will really make a difference to so many women.\u201d<\/p>

Dr Mark Coombe, a GP and education director at FourteenFish<\/a> said: \"I am very sorry to see the results of this survey as HRT and the menopause are a massive healthcare issue and GPs are key in delivering a world-class service for this important group of the population. There are two main keys to solving the current problem. The first is education that is easily accessible, evidence-based, constantly updated and interactive and we at FourteenFish are just about to launch an online learning resource to fill that gap. Secondly, GPs have had very strong guidance by one of our leading bodies, the Medicines and Healthcare products Regulatory Agency<\/a> (MHRA).\"<\/p>","value":"

10% of those who are going through or have gone through the menopause said they had sought private healthcare because their GP did not help with their perimenopausal symptoms.<\/p>

What is the solution?<\/h2>

Mumsnet and Gransnet are calling for GPs to be given more training in menopause and perimenopause management, and for women to be given clear, well-informed advice on treatment options.<\/p>

Mumsnet and Gransnet Founder Justine Roberts said: \u201cGreat strides have been made recently when it comes to the visibility of the menopause, with employers being urged to recognise its impact on many women\u2019s lives, and women becoming increasingly clued-up about associated symptoms. The next step is for perimenopausal symptoms to be more widely acknowledged. GPs are a crucial link in this chain, and our survey findings suggest that GPs urgently need to receive adequate training to recognise and manage women's symptoms.\u201d<\/p>

Menopause expert Dr Louise Newson said: \u201cMenopause education has been inadequate in the past as many GPs (including me) have received no formal menopause education as part of their training. Traditionally menopause care has been lead by gynaecologists. However, all healthcare professionals need to receive adequate training in the perimenopause and menopause so women receive evidence-based and holistic care. Along with like-minded GPs, I have developed a Menopause Education Programme which will launch soon and will really help to improve education for GPs, nurses and other healthcare professionals. GPs are very busy so need education that is evidence based and easy to access, so we are really excited that our programme will really make a difference to so many women.\u201d<\/p>

Dr Mark Coombe, a GP and education director at FourteenFish<\/a> said: \"I am very sorry to see the results of this survey as HRT and the menopause are a massive healthcare issue and GPs are key in delivering a world-class service for this important group of the population. There are two main keys to solving the current problem. The first is education that is easily accessible, evidence-based, constantly updated and interactive and we at FourteenFish are just about to launch an online learning resource to fill that gap. Secondly, GPs have had very strong guidance by one of our leading bodies, the Medicines and Healthcare products Regulatory Agency<\/a> (MHRA).\"<\/p>"},{"meta_id":469469,"post_id":7208,"meta_key":"_body_6_content","meta_value":"field_5ff5e32e00b35","value":"field_5ff5e32e00b35"},{"meta_id":469470,"post_id":7208,"meta_key":"body_7_id","meta_value":"2","value":"2"},{"meta_id":469471,"post_id":7208,"meta_key":"_body_7_id","meta_value":"field_605356a45ac1b","value":"field_605356a45ac1b"},{"meta_id":469472,"post_id":7208,"meta_key":"body_8_content","meta_value":"

\"In August, the Medicines and Healthcare products Regulatory Agency stated: 'New data has confirmed that the risk of breast cancer is increased during use of all types of HRT, except vaginal estrogens, and has also shown that an excess risk of breast cancer persists for longer after stopping HRT than previously thought. Prescribers of HRT should discuss the updated total risk with women using HRT at their next routine appointment.'\"<\/p>

\"In fact, this was based on a review of old flawed data but resulted in GPs thinking they should not prescribe HRT at all. So we need better guidance from our leaders.\"<\/p>

February 2020<\/p>","value":"

\"In August, the Medicines and Healthcare products Regulatory Agency stated: 'New data has confirmed that the risk of breast cancer is increased during use of all types of HRT, except vaginal estrogens, and has also shown that an excess risk of breast cancer persists for longer after stopping HRT than previously thought. Prescribers of HRT should discuss the updated total risk with women using HRT at their next routine appointment.'\"<\/p>

\"In fact, this was based on a review of old flawed data but resulted in GPs thinking they should not prescribe HRT at all. So we need better guidance from our leaders.\"<\/p>

February 2020<\/p>"},{"meta_id":469473,"post_id":7208,"meta_key":"_body_8_content","meta_value":"field_5ff5e32e00b35","value":"field_5ff5e32e00b35"},{"meta_id":469474,"post_id":7208,"meta_key":"_body","meta_value":"field_5ff5e30b00b34","value":"field_5ff5e30b00b34"},{"meta_id":469475,"post_id":7208,"meta_key":"default_hub","meta_value":"8095","value":"8095"},{"meta_id":469476,"post_id":7208,"meta_key":"_default_hub","meta_value":"field_5fd379f22a5f0","value":"field_5fd379f22a5f0"},{"meta_id":469477,"post_id":7208,"meta_key":"hub_data_hub_image","meta_value":"","value":""},{"meta_id":469478,"post_id":7208,"meta_key":"_hub_data_hub_image","meta_value":"field_5ff46fa656d18","value":"field_5ff46fa656d18"},{"meta_id":469479,"post_id":7208,"meta_key":"hub_data_hub_title","meta_value":"","value":""},{"meta_id":469480,"post_id":7208,"meta_key":"_hub_data_hub_title","meta_value":"field_5ff847a9e8dce","value":"field_5ff847a9e8dce"},{"meta_id":469481,"post_id":7208,"meta_key":"hub_data_hub_teaser_text","meta_value":"","value":""},{"meta_id":469482,"post_id":7208,"meta_key":"_hub_data_hub_teaser_text","meta_value":"field_5ff8686325fd2","value":"field_5ff8686325fd2"},{"meta_id":469483,"post_id":7208,"meta_key":"hub_data","meta_value":"","value":""},{"meta_id":469484,"post_id":7208,"meta_key":"_hub_data","meta_value":"field_5fd37e2cba3bd","value":"field_5fd37e2cba3bd"},{"meta_id":469485,"post_id":7208,"meta_key":"manual_related_links","meta_value":"","value":""},{"meta_id":469486,"post_id":7208,"meta_key":"_manual_related_links","meta_value":"field_5fd37f6aba3c0","value":"field_5fd37f6aba3c0"},{"meta_id":469487,"post_id":7208,"meta_key":"sponsor","meta_value":"","value":""},{"meta_id":469488,"post_id":7208,"meta_key":"_sponsor","meta_value":"field_5fd3805f79998","value":"field_5fd3805f79998"}],"taxonomies":[{"term_taxonomy_id":61,"term_id":61,"taxonomy":"category","description":"","parent":0,"count":42,"pivot":{"object_id":7208,"term_taxonomy_id":61},"term":{"term_id":61,"name":"News","slug":"news","term_group":0}},{"term_taxonomy_id":76,"term_id":76,"taxonomy":"category","description":"","parent":0,"count":56,"pivot":{"object_id":7208,"term_taxonomy_id":76},"term":{"term_id":76,"name":"Campaigns","slug":"campaigns","term_group":0}},{"term_taxonomy_id":102,"term_id":102,"taxonomy":"category","description":"","parent":0,"count":68,"pivot":{"object_id":7208,"term_taxonomy_id":102},"term":{"term_id":102,"name":"Health","slug":"health","term_group":0}}],"thumbnail":null}">

女人和男医生谈话

Mumsnet和Gransnet对1500多名女性进行的一项调查显示,许多女性正努力从全科医生那里获得围绝经期和更年期的适当帮助更年期症状.它还表明,一些全科医生尤其对围绝经期症状感到茫然。

广告

在因围绝经期症状向全科医生寻求帮助的人中,36%和因更年期症状寻求帮助的人中,26%的人说,他们在得到适当的药物或帮助之前,会去看三次或三次以上的全科医生。

“我觉得我要疯了,但我觉得甚至不值得再去看一次全科医生,试图解决这个问题。”——被调查

39%的人因围绝经期症状向全科医生寻求帮助,27%的人因绝经期症状向全科医生寻求帮助,他们说全科医生告诉他们只要学会接受就行了。

“全科医生说没有办法知道这是不是围绝经期,我只能继续做下去。当我的月经停止/更年期开始时,它们会有帮助。”——被调查

近四成(39%)的人说他们不相信全科医生能正确诊断围绝经期,四分之一(25%)的人说他们不相信全科医生能正确诊断绝经期。然而,近一半(47%)的人相信他们的全科医生会为他们的围绝经期症状开正确的药物。

“当我提到更年期时,我的(女)全科医生茫然地看着我。她好像没听说过这件事。她试图把一切都当作焦虑来搪塞过去。”——被调查

我的全科医生非常不帮忙,我认为大多数全科医生都不了解激素替代疗法,更不了解有乳腺癌家族史的人的风险。所以我觉得,当我最脆弱的时候,我需要负责我自己的医疗,因为我不会从我的医疗服务提供者那里得到任何帮助。——被调查

只有大约一半(51%)正在经历或已经经历更年期的人向全科医生寻求控制症状的帮助。

“在合理的时间内预约是不可能的,我不想浪费宝贵的全科医生时间。”——被调查

25%正在经历或已经经历围绝经期并向全科医生寻求帮助的人报告说,他们被告知不能处于围绝经期,因为他们“太年轻”。

我的家庭医生三年来一直拒绝相信我已经绝经了,因为她说我“太年轻”(我才37岁)。我不得不在一份全职工作和家庭义务中挣扎着,对那些可怕的症状没有任何帮助。那是一段极其困难的时期。——被调查

10%正在经历或已经经历更年期的人说,他们曾寻求私人医疗保健,因为他们的全科医生对她们的围绝经期症状没有帮助。

解决方案是什么?

Mumsnet和Gransnet呼吁全科医生在更年期和围绝经期管理方面接受更多的培训,并在治疗选择方面为女性提供清晰、知情的建议。

Mumsnet和Gransnet网站的创始人贾斯汀·罗伯茨说:“在对更年期的关注方面,最近取得了很大的进步,雇主们被敦促认识到它对许多女性生活的影响,女性也越来越了解相关症状。”下一步是使围绝经期症状得到更广泛的认识。全科医生是这一链条中的关键一环,我们的调查结果表明,全科医生迫切需要接受足够的培训,以识别和管理女性的症状。”

更年期专家路易丝·纽森博士说:“在过去,更年期教育是不充分的,因为许多全科医生(包括我)没有接受正式的更年期教育作为培训的一部分。传统上,更年期护理一直由妇科医生主导。然而,所有的保健专业人员都需要在围绝经期和绝经期接受充分的培训,以便妇女接受有证据的全面护理。与志同道合的全科医生一起,我开发了一个更年期教育项目,这个项目很快就会启动,它将真正有助于改善全科医生、护士和其他保健专业人员的教育。全科医生都很忙,所以需要有证据的、容易获得的教育,所以我们非常兴奋,我们的项目真的会对这么多女性产生影响。”

马克·库姆博士(Mark Coombe)是一名全科医生,也是美国FourteenFish她说:“我很遗憾看到这项调查的结果,因为荷尔蒙替代疗法和更年期是一个巨大的健康问题,全科医生是为这一重要群体提供世界级服务的关键。”解决当前问题有两个关键。第一种是易于获取、基于证据、不断更新和互动的教育,我们FourteenFish正准备推出一个在线学习资源来填补这一空白。第二,全科医生得到了我们的领导机构之一,美国药品和保健产品管理局(MHRA)。”

广告

“在8月,药物和保健产品监管机构说:“最新数据证实,患乳腺癌的风险增加在使用所有类型的荷尔蒙替代疗法,除了阴道雌激素,也表明,过度患乳腺癌的风险持续时间比此前认为的停用激素替代治疗后。激素替代疗法的处方医生应该在下一次常规约见时讨论使用激素替代疗法的女性的最新总风险。’”

“事实上,这是基于对有缺陷的旧数据的回顾,但导致全科医生认为他们根本不应该开激素替代疗法。所以我们需要领导人更好的指导。”

2020年2月

Baidu